Kennly M Renicker, Lpn
Licensed Practical Nurse in Kent, OH. Individual provider (NPI-1).
NPI number1366092785
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1366092785
- Entity type
- Individual (NPI-1)
- Name
- Kennly M Renicker
- Credential
- Lpn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2019
- Last updated
- Sep 17, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 171650 | OH | Yes |
Practice location
709 Allerton StKent, OH 44240-4501
Phone 740-319-9073
Mailing address
709 Allerton StKent, OH 44240-4501
Phone 740-319-9073
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Licensed Practical Nurse providers in Kent · All 1,259 providers in Kent
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